Woolley, Jacob

Woolley, Jacob is an individual health care provider with primary practice located at 4043 Chatsworth St N Unit 449 , Shoreview MN 55126-5502. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Woolley, Jacob can be contacted via phone (817) 808-6638.

Contact Information

Primary practice address
4043 Chatsworth St N Unit 449 Shoreview MN 55126-5502
Phone: (817) 808-6638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1689311326
LBN Legal business name Woolley, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2022
Last updated May 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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